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<Journal>
<PublisherName>ajhe</PublisherName>
<JournalTitle>African Journal of Health Economics</JournalTitle>
<PISSN>C</PISSN>
<EISSN>o</EISSN>
<Volume-Issue>Volume 7 issue 2</Volume-Issue>
<PartNumber/>
<IssueTopic>Multidisciplinary</IssueTopic>
<IssueLanguage>English</IssueLanguage>
<Season>December 2018</Season>
<SpecialIssue>N</SpecialIssue>
<SupplementaryIssue>N</SupplementaryIssue>
<IssueOA>Y</IssueOA>
<PubDate>
<Year>-0001</Year>
<Month>11</Month>
<Day>30</Day>
</PubDate>
<ArticleType>Review & Research</ArticleType>
<ArticleTitle>Analysis of Direct Medical Costs of Acute Stroke among Patients in a Tertiary Hospital in Ibadan, South-West, Nigeria</ArticleTitle>
<SubTitle/>
<ArticleLanguage>English</ArticleLanguage>
<ArticleOA>Y</ArticleOA>
<FirstPage>1</FirstPage>
<LastPage>9</LastPage>
<AuthorList>
<Author>
<FirstName>Oluchi</FirstName>
<LastName>Iseko1</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>N</CorrespondingAuthor>
<ORCID/>
<FirstName>Folashayo</FirstName>
<LastName>Adeniji2*</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>Kayode</FirstName>
<LastName>Osungbade2</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>Iseko</FirstName>
<LastName>Iseko1</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
</Author>
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<DOI>http://doi.org/10.35202/AJHE.2018.720108</DOI>
<Abstract>Background:The medical costs of treating acute stroke represent a major burden for patients, especially in countries where out-of-pocket (OOP) payment is a major source of health care financing. This study used a micro-costing approach to estimate the direct costs of acute episode of stroke among 175 patients admitted between February and May 2015 in a tertiary hospital in Ibadan, Nigeria.
Methods: A 10% threshold with patients__ampersandsign#39; household annual per capita income was used to ascertain the incidence of catastrophic health expenditure (CHE) among patients. A patient incurred CHE if the OOPs exceeded 10% of the annual per capita income of the households where they live. Bivariate analysis was carried out to evaluate the association between CHE and patient-level clinical characteristics.
Findings: Male respondents were 118 (67.4%), and the mean age of respondents was 60.9 ---PlusMinusSymbol---13.7 years. A total of 156 (89.1%) respondents paid for their medical services through OOPs, while 19 (10.9%) paid through social health insurance. The average health care expenditure on acute stroke treatment for respondents who made OOPs was ?195,672.20---PlusMinusSymbol---?170,661.30 and ?189,817.40---PlusMinusSymbol---?77,114.00 for those whose OOPs was partly offset by social health insurance. The average annual income of the respondents was ?696,685.70---PlusMinusSymbol---?69.834.80 Expenditure on admission/consultation, and radiological services represent the highest costs contributing to patients__ampersandsign#39; average direct medical cost, ?30,822.90 ($154.89) and ?43,200 ($217.09), respectively. This was followed by expenditure on drugs ?27,088.00 ($136.12). Overall, 29.1% of the respondents experienced CHE, of these, 94.1% used out-of-pocket, and 5.9% had some form of social health insurance. The incidence of CHE was significantly associated with low educational status, length of hospital stay, and co-morbidity.
Conclusion:Acute stroke patients experienced catastrophic health expenditure largely due to huge drugs and laboratory fees. Increasing financial risk protection for these patients would prevent them from impoverishment as a result of enormous medical costs.</Abstract>
<AbstractLanguage>English</AbstractLanguage>
<Keywords>Acute stroke, Catastrophic health expenditure, cost-of-illness, social health insurance, Ibadan</Keywords>
<URLs>
<Abstract>https://ajhe.org.in/ubijournal-v1copy/journals/abstract.php?article_id=6283&title=Analysis of Direct Medical Costs of Acute Stroke among Patients in a Tertiary Hospital in Ibadan, South-West, Nigeria</Abstract>
</URLs>
<References>
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<ReferenceslastPage>19</ReferenceslastPage>
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